This report was generated on 2021-04-13 from the Adult Congenital Heart Disease Clinic Planning Tool

Patient Data

The Patient Dataset had the following filters applied:

After Filtering, these are some basic demographics of the patient data:

Table 1: Number of patients, lost to follow up rates and driving time to clinics; by disease severity
Patients (n) Lost to F/up (%) Pts < 1 hr drive (%)
All 2649 47.34 81.58
Simple CHD 1279 67.63 84.99
Moderate CHD 900 32.44 78.22
Complex CHD 470 20.64 78.72

 

Figure 1: Patient level demographics; A distribution of patient age, B time since patients last clinic visit, C distribution of patient sex, D the number of diagnoses per patient and E number of clinic visits per patient.

 

Figure 2: Frequency of each Congential Heart Disease diagnosis appearing in the database

Area Data

Areas are the Statistical Area 2 (SA2) geographical boundaries, defined by the Australian Bureau of Statistics, below is a basic summary of the area level data before any new ACHD clinic locations have been selected:

Table 2: Number of areas within one hour drive to an ACHD clinic and the average driving time to ACHD clinics
Areas (n) Areas < 1hr (n) Areas < 1hr (%) Avg Drive Time (hr)
All 712 443 62.22 1.27
Greater Sydney 312 272 87.18 0.46
Rest of NSW 264 48 18.18 2.68
ACT 131 123 93.89 0.26

 
 

 
 

 
Figure 3: Distribution of the driving time from each SA2 area to the nearest ACHD clinic, for all of NSW,
the Greater Sydney Region, the Rest of NSW and the Australia Capital Territory

Distribution of the ACHD population

The map below shows the number of ACHD patients in each area. Driving times are calculated from the centre of each area.

 

Figure 4: Map of New South Wales with a Choloropeth showing the number of ACHD patients in each area. Area Boundaries at at the SA2 level
 
## Current ACHD Clinics in NSW

There are currently 6 Clinic locatios for Adult Congenital Heart Disease Services in NSW. Please note that not all clinic locations are available in the Hospital Travel Times dataset, in these cases, the closest available hospital has been used instead. The table below outlines the clinic matches and the distance between them.

Table 3: Matching current ACHD clinics to Hospital Travel Time (HTT) Clincis
Current ACHD Clinics Closest HTT Clinics Distance between (kms)
Orange Central West Cardiology Orange Day Surgery Centre 1.1
Nowra Shoalhaven Cardiology Shoalhaven Hospital 1.2
Canberra More Than Medicine Canberra Imaging Group Angiography/Interventional Suite 8
Port Macquarie Port Macquarie Cardiology Port Macquarie Hospital 0.5
Royal Prince Alfred Hospital Royal Prince Alfred Hospital 0
Westmead Private Hospital Westmead Private Hospital 0

 

Table 4: Number of patients captured by each hospital
Current ACHD Clinics Patient within 1hr (n) Lost to F/up within 1hr (n)
Canberra Imaging Group Angiography/Interventional Suite 107 27
John Hunter Hospital 75 38
Orange Day Surgery Centre 45 25
Port Macquarie Hospital 25 9
Royal Prince Alfred Hospital 1855 917
Westmead Private Hospital 1868 927
Total 3975 1943

 

Average Driving time to ACHD Clinics

The map below details the driving time from each SA2 area in NSW to the nearest ACHD Clinic. Driving times are calculated from the centre of each area.

 

Figure 5: Map of New South Wales with a Choloropeth showing the driving time in hours from each area to the nearest ACHD clinic. Area Boundaries at at the SA2 level, map markers show ACHD clinic locations.
 

New ACHD Clinics in NSW

The following clinics were selected as potentials for new locations in NSW

Table 5: Number of patients captured in the new clinics
New ACHD Clinics Patient within 1hr (n) Lost to F/up within 1hr (n)
Tamworth Hospital 8 <5
Wagga Wagga Hospital 12 <5
Dubbo Hospital 36 19
Total 56 26

Average Driving time to ACHD Clinics

The map below details the driving time from each SA2 area in NSW to the nearest ACHD Clinic. Driving times are calculated from the centre of each area.

 

Figure 6: Map of New South Wales with a Choloropeth showing the driving time in hours from each area to the nearest ACHD clinic, with new clinics added. Area Boundaries at at the SA2 level, map markers show ACHD clinic locations, green markers are the current clinics, orange markers are the newly selected clinics.
 

Table 6: Comparing the reach of current ACHD clinic locations to new ACHD clinic locations
Patients within 1hr (n) Patients within 1hr (%) Lost to F/up within 1hr (n) Lost to F/up within 1hr (%) Average Drive to ACHD Clinic (hrs) Longest Drive to ACHD Clinic (hrs)
Current Clincs Locations 2161 81.58 1032 82.30 1.27 10.87
New Clinics Locations 2217 83.69 1058 84.37 1.03 8.93
Difference 56 2.11 26 2.07 -0.24 -1.94

 
 
 

Area Focus



Selected Areas: Tamworth - East, Tamworth - North, Tamworth - West, Tamworth Region

Number of ACHD Patients: 8

Number with:
  • Simple CHD: <5
  • Moderate CHD: <5
  • Complex CHD: <5
Number of Patients lost to follow up:
  • <5
Index of Relative Socio-economic Disadvantage
(1 = most disadvantaged, 10 = least disadvantaged):
  • Tamworth - East : 3
  • Tamworth - North : 4
  • Tamworth - West : 1
  • Tamworth Region : 5
Aboriginal and Torres Strait Islander Population
  • Total: 6026
  • Percent: 10%
Accessibility and Remoteness Index of Australia
(percentage of population living in):
  • Major Cities: 0%
  • Inner Regional: 85%
  • Outer Regional: 15%
  • Remote: 0%
  • Very Remote: 0%
Driving time to nearest clinic:
  • Tamworth - East :
    • Current Locations: 3.92 hrs
    • New Locations: 0.19 hrs
  • Tamworth - North :
    • Current Locations: 3.91 hrs
    • New Locations: 0.09 hrs
  • Tamworth - West :
    • Current Locations: 3.99 hrs
    • New Locations: 0.18 hrs
  • Tamworth Region :
    • Current Locations: 4.13 hrs
    • New Locations: 0.57 hrs

 
 
 

Area Focus



Selected Areas: Dubbo - East, Dubbo - South, Dubbo - West, Dubbo Region

Number of ACHD Patients: 29

Number with:
  • Simple CHD: 20
  • Moderate CHD: 6
  • Complex CHD: <5
Number of Patients lost to follow up:
  • 15
Index of Relative Socio-economic Disadvantage
(1 = most disadvantaged, 10 = least disadvantaged):
  • Dubbo - East : 3
  • Dubbo - South : 4
  • Dubbo - West : 3
  • Dubbo Region : 7
Aboriginal and Torres Strait Islander Population
  • Total: 5890
  • Percent: 14%
Accessibility and Remoteness Index of Australia
(percentage of population living in):
  • Major Cities: 0%
  • Inner Regional: 77%
  • Outer Regional: 23%
  • Remote: 0%
  • Very Remote: 0%
Driving time to nearest clinic:
  • Dubbo - East :
    • Current Locations: 1.97 hrs
    • New Locations: 0.1 hrs
  • Dubbo - South :
    • Current Locations: 1.98 hrs
    • New Locations: 0.11 hrs
  • Dubbo - West :
    • Current Locations: 2.06 hrs
    • New Locations: 0.13 hrs
  • Dubbo Region :
    • Current Locations: 2.08 hrs
    • New Locations: 0.38 hrs

 
 
 

Area Focus



Selected Areas: Wagga Wagga - East, Wagga Wagga - North, Wagga Wagga - South, Wagga Wagga - West, Wagga Wagga Region

Number of ACHD Patients: 11

Number with:
  • Simple CHD: <5
  • Moderate CHD: 8
  • Complex CHD: <5
Number of Patients lost to follow up:
  • <5
Index of Relative Socio-economic Disadvantage
(1 = most disadvantaged, 10 = least disadvantaged):
  • Wagga Wagga - East : 6
  • Wagga Wagga - North : 8
  • Wagga Wagga - South : 4
  • Wagga Wagga - West : 3
  • Wagga Wagga Region : 6
Aboriginal and Torres Strait Islander Population
  • Total: 3731
  • Percent: 5%
Accessibility and Remoteness Index of Australia
(percentage of population living in):
  • Major Cities: 0%
  • Inner Regional: 94%
  • Outer Regional: 6%
  • Remote: 0%
  • Very Remote: 0%
Driving time to nearest clinic:
  • Wagga Wagga - East :
    • Current Locations: 3.21 hrs
    • New Locations: 0.17 hrs
  • Wagga Wagga - North :
    • Current Locations: 3.26 hrs
    • New Locations: 0.14 hrs
  • Wagga Wagga - South :
    • Current Locations: 3.25 hrs
    • New Locations: 0.11 hrs
  • Wagga Wagga - West :
    • Current Locations: 3.21 hrs
    • New Locations: 0.07 hrs
  • Wagga Wagga Region :
    • Current Locations: 3.49 hrs
    • New Locations: 0.57 hrs